Results of Perilunate Dislocations and Perilunate Fracture Dislocations With a Minimum 15-Year Follow-Up

The Journal of Hand Surgery
Elie KriefCatherine Maes-Clavier

Abstract

To evaluate the long-term clinical, functional, and radiological outcomes in 30 patients with at least 15 years of follow-up. We performed a retrospective study that identified 73 patients. Thirty patients agreed to participate and were included. The mean follow-up was 18 years (range, 15-24 years). There were 14 cases of perilunate dislocation and 16 cases of perilunate fracture-dislocation (including 13 transscaphoid perilunate fracture-dislocations). At the last follow-up, the clinical and functional evaluation was based on the range of motion, grip strength, the Mayo wrist score, the Quick Disabilities of the Arm Shoulder and Hand score, and the Patient-Rated Wrist Evaluation score. Radiological abnormalities, according to the Herzberg classification, were 5 type A1 cases, 7 type B, 16 type B1, and 2 type C. The mean flexion-extension arc, radial-ulnar abduction arc, and pronation-supination arc were, respectively, 68%, 67%, and 80%, relative to the contralateral side. The mean grip strength was 70%, relative to the contralateral side. The mean Mayo wrist score was 70, and the mean Quick Disabilities of the Arm Shoulder and Hand and Patient-Rated Wrist Evaluation scores were, respectively, 20 and 21. Five patients had secon...Continue Reading

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Citations

Oct 7, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Won-Taek OhKyung-Han Lim
Jan 20, 2017·Current Reviews in Musculoskeletal Medicine·Nathan T MorrellAdam B Shafritz
Nov 8, 2018·Orthopedics·Avi D GoodmanChristopher J Got
Feb 8, 2021·Hand Surgery and Rehabilitation·P KaiserR Arora
Nov 17, 2020·Indian Journal of Orthopaedics·Joseph GeorgeMuniramaiah Ravishankar
Apr 9, 2021·Hand : Official Journal of the American Association for Hand Surgery·Nicholas H LakeDominic Gomez-Leonardelli
May 31, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Gaspard LebotMarc Saab

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